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Site Address: 424 W MOUNTAIN AVE
Job Valuation: $3,455.00 Category: Residential
Owner: HACKETT, TIMOTHY B
1006 LAPORTE AVE
FORT COLLINS, CO 80521
Zoning: Front setback: Rear setback:
Zoning district: NCM Plat File #:
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Stock plan #:
Contractor: ALLEN PLUMBING & HEATING
101 S LINK AVE, PO BOX 567
FORT COLLINS, CO 80522
Subcontractor(s) ----- - -
Mechanical: AL-LEN PLUMBING & HEATING
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-058o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0905652
Issued Full: 09/14/2009
Permit Type: Residential Mechanical
Phone: 970-481-1323
Right setback:
ZBA Case #:
Filing #: Lot #:
Ind sq ft:
Const Type:
Stock plan options:
Left setback:
Minor Amend #:
Basement sq ft:
Block #:
License #: H-871 Supervisor cert #:
Phone: 970-484-4841
Work Description: FINISH & INSTALL A NEW STAINLESS STEAL_SIDEARM STORAGE TANK —
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Inspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 09/14/09 $15.00 Payment method: Trust Account
Asa condition for the issuance of a permit, I hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Signature: Print Name:
Form Revised Oct 2008
Date: